{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T10:57:06Z","timestamp":1771671426068,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,10,16]],"date-time":"2015-10-16T00:00:00Z","timestamp":1444953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Terra firma\u2010forme dermatosis (<jats:styled-content style=\"fixed-case\">TFFD<\/jats:styled-content>) is a benign, yet little known disorder with very few cases reported in the literature. <jats:styled-content style=\"fixed-case\">TFFD<\/jats:styled-content> is considered to be only a cosmetic problem but can be a cause of embarrassment for the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eleven patients with <jats:styled-content style=\"fixed-case\">TFFD<\/jats:styled-content> presenting in a tertiary care center over a period of 5 years were analyzed with respect to disease presentation, treatment, and possible factors involved in causation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The commonest cause in our series was ignorance regarding proper cleansing techniques, inadequate pressure while scrubbing the affected area, and a lack of concern, fear, or pain as in the case of surgical sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Awareness among the clinicians about the existence of <jats:styled-content style=\"fixed-case\">TFFD<\/jats:styled-content> is essential to save time for the clinician and to reduce the economic burden on the patient by avoiding costly investigations and treatment. Proper counseling regarding the cleansing of surgery sites may help prevent the development of this condition in such situations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.12974","type":"journal-article","created":{"date-parts":[[2015,10,17]],"date-time":"2015-10-17T04:05:31Z","timestamp":1445054731000},"page":"769-774","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Terra firma\u2010forme dermatosis: report of a series of 11 cases and a brief review of the literature"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0393-5090","authenticated-orcid":false,"given":"Karalikkattil T.","family":"Ashique","sequence":"first","affiliation":[{"name":"Department of Dermatology KIMS AL SHIFA Super Speciality Hospital Perinthalmanna Kerala 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